CA2345056C - Element de dissection a ballonnet a visualisation amelioree - Google Patents
Element de dissection a ballonnet a visualisation amelioree Download PDFInfo
- Publication number
- CA2345056C CA2345056C CA002345056A CA2345056A CA2345056C CA 2345056 C CA2345056 C CA 2345056C CA 002345056 A CA002345056 A CA 002345056A CA 2345056 A CA2345056 A CA 2345056A CA 2345056 C CA2345056 C CA 2345056C
- Authority
- CA
- Canada
- Prior art keywords
- balloon
- neck
- tubular member
- tunneling
- surgical device
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Expired - Fee Related
Links
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Classifications
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M25/00—Catheters; Hollow probes
- A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
- A61M25/0194—Tunnelling catheters
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/02—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
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- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/02—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
- A61B17/0218—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors for minimally invasive surgery
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- A—HUMAN NECESSITIES
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- A61B17/32—Surgical cutting instruments
- A61B17/320016—Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes
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- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/08—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by means of electrically-heated probes
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/0063—Implantable repair or support meshes, e.g. hernia meshes
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M25/00—Catheters; Hollow probes
- A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
- A61M25/06—Body-piercing guide needles or the like
- A61M25/0662—Guide tubes
- A61M25/0668—Guide tubes splittable, tear apart
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- A—HUMAN NECESSITIES
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- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M25/00—Catheters; Hollow probes
- A61M25/10—Balloon catheters
- A61M25/1002—Balloon catheters characterised by balloon shape
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- A—HUMAN NECESSITIES
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- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M25/00—Catheters; Hollow probes
- A61M25/10—Balloon catheters
- A61M25/1027—Making of balloon catheters
- A61M25/1038—Wrapping or folding devices for use with balloon catheters
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- A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
- A61B17/3421—Cannulas
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- A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
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- A61B2017/00535—Surgical instruments, devices or methods, e.g. tourniquets pneumatically or hydraulically operated
- A61B2017/00557—Surgical instruments, devices or methods, e.g. tourniquets pneumatically or hydraulically operated inflatable
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- A61B17/0218—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors for minimally invasive surgery
- A61B2017/0225—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors for minimally invasive surgery flexible, e.g. fabrics, meshes, or membranes
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- A—HUMAN NECESSITIES
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- A61B2017/320044—Blunt dissectors
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- A—HUMAN NECESSITIES
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- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
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- A61B2017/320048—Balloon dissectors
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- A—HUMAN NECESSITIES
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- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/08—Accessories or related features not otherwise provided for
- A61B2090/0813—Accessories designed for easy sterilising, i.e. re-usable
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- A—HUMAN NECESSITIES
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- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/36—Image-producing devices or illumination devices not otherwise provided for
- A61B90/361—Image-producing devices, e.g. surgical cameras
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/0063—Implantable repair or support meshes, e.g. hernia meshes
- A61F2002/0072—Delivery tools therefor
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M25/00—Catheters; Hollow probes
- A61M25/10—Balloon catheters
- A61M2025/1043—Balloon catheters with special features or adapted for special applications
- A61M2025/1081—Balloon catheters with special features or adapted for special applications having sheaths or the like for covering the balloon but not forming a permanent part of the balloon, e.g. retractable, dissolvable or tearable sheaths
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M29/00—Dilators with or without means for introducing media, e.g. remedies
- A61M29/02—Dilators made of swellable material
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Engineering & Computer Science (AREA)
- Veterinary Medicine (AREA)
- Biomedical Technology (AREA)
- Surgery (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Molecular Biology (AREA)
- Medical Informatics (AREA)
- Hematology (AREA)
- Biophysics (AREA)
- Anesthesiology (AREA)
- Pulmonology (AREA)
- Child & Adolescent Psychology (AREA)
- Plasma & Fusion (AREA)
- Otolaryngology (AREA)
- Physics & Mathematics (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Cardiology (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Transplantation (AREA)
- Vascular Medicine (AREA)
- Endoscopes (AREA)
- Surgical Instruments (AREA)
Abstract
La présente invention concerne un appareil pour tunnellisation gonflable et des techniques associées permettant de créer un espace anatomique de travail pour une opération chirurgicale. Cette invention concerne divers modes de réalisation d'appareil en une et deux pièces qui permettent l'observation laparoscopique pendant la tunnellisation et pendant la dissection. Dans un mode de réalisation en une pièce, une partie tubulaire possède un alésage qui traverse l'intérieur de cette partie et une extrémité distale. Une lèvre formée dans cette extrémité distale de la partie tubulaire permet de capturer la pointe distale d'un laparoscope inséré dans la partie tubulaire, de façon à permettre d'observer l'opération pendant la tunnellisation vers une localisation souhaitée et pendant le gonflage du ballonnet qui s'ensuit. Un goulot profilé du ballonnet est fixé sur la partie de tunnellisation. Ce goulot profilé permet de retirer délicatement la partie tubulaire du ballonnet après le gonflage afin de faciliter l'observation. Après avoir avancé le ballonnet jusqu'à la localisation souhaitée dans l'anatomie, on le gonfle par un lumen de gonflage de ballonnet afin de séparer les tissus et créer un espace opératoire. Cette invention concerne diverses fabrications de ballonnet et une conception réutilisable.
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US09/364,686 | 1999-07-30 | ||
US09/364,686 US6364892B1 (en) | 1992-06-02 | 1999-07-30 | Ballon dissector with improved visualization |
PCT/US2000/020452 WO2001008565A2 (fr) | 1999-07-30 | 2000-07-28 | Element de dissection a ballonnet a visualisation amelioree |
Publications (2)
Publication Number | Publication Date |
---|---|
CA2345056A1 CA2345056A1 (fr) | 2001-02-08 |
CA2345056C true CA2345056C (fr) | 2008-09-23 |
Family
ID=23435620
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
CA002345056A Expired - Fee Related CA2345056C (fr) | 1999-07-30 | 2000-07-28 | Element de dissection a ballonnet a visualisation amelioree |
Country Status (8)
Country | Link |
---|---|
US (1) | US6364892B1 (fr) |
EP (1) | EP1143860B1 (fr) |
JP (1) | JP4536306B2 (fr) |
AU (1) | AU773152B2 (fr) |
CA (1) | CA2345056C (fr) |
DE (1) | DE60042918D1 (fr) |
ES (1) | ES2332352T3 (fr) |
WO (1) | WO2001008565A2 (fr) |
Families Citing this family (21)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US7744617B2 (en) * | 1991-05-29 | 2010-06-29 | Covidien Ag | Method and inflatable chamber apparatus for separating layers of tissue |
US6540764B1 (en) | 1992-06-02 | 2003-04-01 | General Surgical Innovations, Inc. | Apparatus and method for dissecting tissue layers |
ES2349685T3 (es) * | 2001-05-31 | 2011-01-10 | Tyco Healthcare Group Lp | Cánula de globo con mordaza excéntrica. |
US9155544B2 (en) * | 2002-03-20 | 2015-10-13 | P Tech, Llc | Robotic systems and methods |
US20050256503A1 (en) * | 2002-05-07 | 2005-11-17 | Cardiac Pacemakers, Inc. | Tapered catheter delivery system |
US6939327B2 (en) | 2002-05-07 | 2005-09-06 | Cardiac Pacemakers, Inc. | Peel-away sheath |
US20050256508A1 (en) * | 2002-05-07 | 2005-11-17 | Cardiac Pacemakers, Inc. | Guide catheter system having relative markings |
US20060190024A1 (en) * | 2005-02-24 | 2006-08-24 | Bei Nianjiong | Recovery catheter apparatus and method |
US20060229561A1 (en) * | 2005-04-08 | 2006-10-12 | Medtronic Vascular, Inc. | Integrated detachable introducer |
US7790273B2 (en) * | 2006-05-24 | 2010-09-07 | Nellix, Inc. | Material for creating multi-layered films and methods for making the same |
US7798998B2 (en) | 2006-10-06 | 2010-09-21 | Surgiquest, Inc. | Elastically deformable surgical access device |
US7806870B2 (en) * | 2006-10-06 | 2010-10-05 | Surgiquest, Incorporated | Elastically deformable surgical access device having telescoping guide tube |
US8795235B2 (en) * | 2006-10-06 | 2014-08-05 | Surgiquest, Inc. | Devices for and methods of performing minimally-invasive surgical procedures through a single incision |
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US20100057113A1 (en) * | 2008-08-26 | 2010-03-04 | Shalom Levin | Method and apparatus for insertion of device in trocar |
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-
1999
- 1999-07-30 US US09/364,686 patent/US6364892B1/en not_active Expired - Fee Related
-
2000
- 2000-07-28 ES ES00948976T patent/ES2332352T3/es not_active Expired - Lifetime
- 2000-07-28 JP JP2001513307A patent/JP4536306B2/ja not_active Expired - Fee Related
- 2000-07-28 WO PCT/US2000/020452 patent/WO2001008565A2/fr active Application Filing
- 2000-07-28 EP EP00948976A patent/EP1143860B1/fr not_active Expired - Lifetime
- 2000-07-28 DE DE60042918T patent/DE60042918D1/de not_active Expired - Lifetime
- 2000-07-28 AU AU62392/00A patent/AU773152B2/en not_active Ceased
- 2000-07-28 CA CA002345056A patent/CA2345056C/fr not_active Expired - Fee Related
Also Published As
Publication number | Publication date |
---|---|
JP4536306B2 (ja) | 2010-09-01 |
AU6239200A (en) | 2001-02-19 |
WO2001008565A2 (fr) | 2001-02-08 |
ES2332352T3 (es) | 2010-02-03 |
JP2003524471A (ja) | 2003-08-19 |
US6364892B1 (en) | 2002-04-02 |
DE60042918D1 (de) | 2009-10-22 |
CA2345056A1 (fr) | 2001-02-08 |
AU773152B2 (en) | 2004-05-20 |
EP1143860A2 (fr) | 2001-10-17 |
EP1143860B1 (fr) | 2009-09-09 |
WO2001008565A3 (fr) | 2001-08-23 |
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